San Leandro, CA
A 35-year-old female asked:
On 3rd pack of extended bc pill(skipped inactive pills), breakthrough bleeding in 3rd week of this pack after sex.spotting still.vaginal bleeding after bowel movement too.is this due to extended bcp?
3 doctor answers • 4 doctors weighed in
Dr. M. Taslimianswered
Specializes in Obstetrics and Gynecology
All active pills: I am a bit confused with your question. Extended bcp's are used for period suppression; there are no inactive pills in the packet; you are supposed to take all of the pills.
What you are describing can be just "break through" bleeding, not uncommon with bcp's, especially if used irregularly.
It is possible that pushing with bowel movement is expressing the blood that is already in the vagina.
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Dr. Mueeza Zafaranswered
Family Medicine 49 years experience
Estrogen effect cerv: How heavy was the bleeding. How long did it last. If it was bright red and only a small amount, for a few hours, then could be from the estrogen effect on the cervix, which makes it bleed easier, but this is not menstruation related bleeding.
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Dr. Paula Hillardanswered
Obstetrics & Gynecology 46 years experience
Maybe: Btb is more likely with extended cycle. But other things can causes btb, especially bleeding after sex, like cervical polyps, fibroids or stis. If it continues, see your dr.
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4.7k viewsReviewed >2 years ago
Related questions
A 33-year-old female asked:
I used to be able to take 3 bcp packs in a row to skip my period without any problems and recently if I skip just one period I'm having breakthrough bleeding all month off and on. Did checkup and everything's fine so why is this suddenly happening?
Dr. Gurmukh Singhanswered
Pathology 51 years experience
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Created for people with ongoing healthcare needs but benefits everyone.
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A 33-year-old female asked about a member:
Breakthrough bleeding for 13 days on new bcp. I am currently on day 1 of taking the inactive pills. Will the bleeding stop during taking these or starting a new pack of pills?
Dr. John Berrymananswered
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The bleeding should stop during the seven day placebo period, if not, see your GYN physician for guidance. Documented PCOS is usually treated with or... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Answered Feb 06, 2023
A 34-year-old female asked:
Been taking continuous birth control pill-skipping inactive pills. Is breakthough bleeding (mostly spotting) anything I should be concerned about?
Dr. Oscar Novickanswered
Pediatrics 60 years experience
Spotting: No spotting is normal on birth control tablets. See your doctor if you are concerned.
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsAnswered >2 years ago
A 37-year-old female asked about a 35-year-old member:
I just started my third pack of low dose birth control. Im spotting still on third pack. It happens off and on during pack. Do I need to wait until my fourth pack to see if spotting still persists or stops before changing birth control pill? Thanks
A Verified Doctoranswered
Family Medicine 49 years experience
YES: however, I suggest calling and notifying your GYN. Your low dose pills may need to be stronger. Continue BC pills until seen and examined.
Created for people with ongoing healthcare needs but benefits everyone.
137 viewsReviewed >2 years ago
A 19-year-old female asked:
Been bleeding/spotting for 11 days straight while on active pills, and now on 2 days of inactive pills (gildess fe 1/20). This is my third pack of BC.
Dr. Ivelisse Rivera-Godreauanswered
Family Medicine 26 years experience
New BC...: New BC can cause intermittent or continuous spotting the first couple of months. It usually normalizes and your period starts getting regular. However... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsAnswered >2 years ago
Last updated Oct 4, 2016
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